Guided Cleaning with the MolecuLight i:X™ – A Caregiver’s Perspective

Obesity-associated lymphedema in this patient resulted in extreme leg swelling and a venous leg ulcer which was non-healing prior to introduction of the MolecuLight i:X for guided cleaning. Deep skin creases surrounding this wound provide an environment in which bacteria can thrive. Since introduction of the i:X for patient education and guided cleaning of these creases, bacterial presence has been reduced and the wound has dramatically decreased in size.

Image of wound taken in Standard Imaging ModeTM

Image of wound taken in Fluorescence Imaging ModeTM (presence of bacteria indicated by the red color)

Image of wound taken during cleaning in Fluorescence Imaging ModeTM

Testimonial from the Patient’s Caregiver (Husband):

“Before, we knew about the bacteria, but we didn’t know where it was. After the clinician showed us the pictures, we know where it grows, where it stays, and where we have to clean the bacteria. So it [the MolecuLight i:X] is helpful because before we were not aware of where the bacteria was. We found out that the creases have bacteria. Bacteria travel from the crease and onto the wound. Before this we knew she had bacterial infection and we cleaned, but obviously we didn’t know if it was properly cleaned or not clean, so it [the MolecuLight i:X] is a helpful device for us because it allows us to focus on problematic areas.”

“Nurses visiting at home (CCAC), especially the wound care nurses, should carry this device. It is helpful for the patient as well as for the nurse.”

Wound Etiology

Lymphedema-associated venous leg ulcer

Anatomical Location

Upper medial thigh

Patient Demographics

Female, 56 years old

General Challenges

Lymphedema

Diabetes

Morbidly obese

Hypertension

General Care Paradigm

Previous efforts with various dressings and NPWT produced no improvement